Trial Outcomes & Findings for A Study of Adult Outpatients With Opioid Dependence Transitioned From a Daily SL Buprenorphine to Probuphine® Subdermal Implants (NCT NCT02180659)

NCT ID: NCT02180659

Last Updated: 2019-01-11

Results Overview

The primary efficacy endpoint is a responder analysis. A subject will be designated as a responder (meaning they have maintained stability) if they have no more than 2 of 6 months with any evidence of illicit opioid use. Evidence of illicit opioid use is defined as a positive opioid urine toxicology result or self-reported illicit opioid use.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

177 participants

Primary outcome timeframe

24 weeks

Results posted on

2019-01-11

Participant Flow

First patient enrolled: 26 June 2014. Last patient completed: 18 May 2015 A total of 21 Investigators participated in the study, across 21 sites in the United States.

211 patient were screened and of those,177 subjects were enrolled and randomized into the study.

Participant milestones

Participant milestones
Measure
Buprenorphine Implants + Placebo Tablets
Four 80 mg Probuphine implants + daily SL placebo tablets Buprenorphine implant sublingual placebo tablets
Buprenorphine Tablets + Placebo Implants
Daily SL BPN tablets (≤8 mg/daily) + four placebo implants sublingual buprenorphine tablets placebo implants
Overall Study
STARTED
87
89
Overall Study
COMPLETED
81
84
Overall Study
NOT COMPLETED
6
5

Reasons for withdrawal

Reasons for withdrawal
Measure
Buprenorphine Implants + Placebo Tablets
Four 80 mg Probuphine implants + daily SL placebo tablets Buprenorphine implant sublingual placebo tablets
Buprenorphine Tablets + Placebo Implants
Daily SL BPN tablets (≤8 mg/daily) + four placebo implants sublingual buprenorphine tablets placebo implants
Overall Study
Adverse Event
1
0
Overall Study
Lost to Follow-up
4
2
Overall Study
Subject incarcerated during conduct
1
0
Overall Study
Withdrawal by Subject
0
2
Overall Study
AT REQUEST OF THE SPONSOR
0
1

Baseline Characteristics

A Study of Adult Outpatients With Opioid Dependence Transitioned From a Daily SL Buprenorphine to Probuphine® Subdermal Implants

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Buprenorphine Implants + Placebo Tablets
n=87 Participants
Four 80 mg Probuphine implants + daily SL placebo tablets Buprenorphine implant sublingual placebo tablets
Buprenorphine Tablets + Placebo Implants
n=89 Participants
Daily SL BPN tablets (≤8 mg/daily) + four placebo implants sublingual buprenorphine tablets placebo implants
Total
n=176 Participants
Total of all reporting groups
Age, Continuous
38 Years
n=5 Participants
39 Years
n=7 Participants
39 Years
n=5 Participants
Sex: Female, Male
Female
35 Participants
n=5 Participants
37 Participants
n=7 Participants
72 Participants
n=5 Participants
Sex: Female, Male
Male
52 Participants
n=5 Participants
52 Participants
n=7 Participants
104 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=5 Participants
3 Participants
n=7 Participants
6 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
84 Participants
n=5 Participants
86 Participants
n=7 Participants
170 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=5 Participants
2 Participants
n=7 Participants
5 Participants
n=5 Participants
Race (NIH/OMB)
White
82 Participants
n=5 Participants
85 Participants
n=7 Participants
167 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
BMI
28 kg/m^2
n=5 Participants
27 kg/m^2
n=7 Participants
28 kg/m^2
n=5 Participants
Primary opioid of abuse
Prescription opioid pain reliever
66 Participants
n=5 Participants
65 Participants
n=7 Participants
131 Participants
n=5 Participants
Primary opioid of abuse
Heroin
15 Participants
n=5 Participants
22 Participants
n=7 Participants
37 Participants
n=5 Participants
Primary opioid of abuse
Other
5 Participants
n=5 Participants
2 Participants
n=7 Participants
7 Participants
n=5 Participants
Primary opioid of abuse
Not reported
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Time since first opioid abuse
11.2 Years
n=5 Participants
11.5 Years
n=7 Participants
11.3 Years
n=5 Participants
Time from first diagnosis of opioid dependence
6.2 years
n=5 Participants
6.2 years
n=7 Participants
6.2 years
n=5 Participants
Buprenorphine Treatment (years)
3.5 years
n=5 Participants
3.4 years
n=7 Participants
3.5 years
n=5 Participants
Highest Dose of Buprenorphine Treatment Ever Taken (mg/day)
14 mg/day
n=5 Participants
14 mg/day
n=7 Participants
14 mg/day
n=5 Participants
Dose of BPN treatment prior to randomization.
2 mg/d
6 Participants
n=5 Participants
3 Participants
n=7 Participants
9 Participants
n=5 Participants
Dose of BPN treatment prior to randomization.
4 mg/d
12 Participants
n=5 Participants
15 Participants
n=7 Participants
27 Participants
n=5 Participants
Dose of BPN treatment prior to randomization.
6 mg/d
8 Participants
n=5 Participants
4 Participants
n=7 Participants
12 Participants
n=5 Participants
Dose of BPN treatment prior to randomization.
8 mg/d
61 Participants
n=5 Participants
67 Participants
n=7 Participants
128 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 24 weeks

Population: The analyses included 173 subjects in the ITT population who received treatment and post-baseline evaluations.

The primary efficacy endpoint is a responder analysis. A subject will be designated as a responder (meaning they have maintained stability) if they have no more than 2 of 6 months with any evidence of illicit opioid use. Evidence of illicit opioid use is defined as a positive opioid urine toxicology result or self-reported illicit opioid use.

Outcome measures

Outcome measures
Measure
Buprenorphine Implants + Placebo Tablets
n=84 Participants
Four 80 mg Probuphine implants + daily SL placebo tablets Buprenorphine implant sublingual placebo tablets
Buprenorphine Tablets + Placebo Implants
n=89 Participants
Daily SL BPN tablets (≤8 mg/daily) + four placebo implants sublingual buprenorphine tablets placebo implants
The Primary Efficacy Endpoint is a Responder Rate Analysis, Where a Responder is Defined as a Patient With no More Than 2 of 6 Months With Any Evidence of Illicit Opioid Use.
Responder
81 Participants
78 Participants
The Primary Efficacy Endpoint is a Responder Rate Analysis, Where a Responder is Defined as a Patient With no More Than 2 of 6 Months With Any Evidence of Illicit Opioid Use.
Non-Responder
3 Participants
11 Participants

SECONDARY outcome

Timeframe: 24 weeks

Population: Outcome measures were obtained for all subjects as described in the Analysis Population Description of the primary outcome above.

The secondary outcome is the percent of subjects with no urine illicit opioid use by month.

Outcome measures

Outcome measures
Measure
Buprenorphine Implants + Placebo Tablets
n=84 Participants
Four 80 mg Probuphine implants + daily SL placebo tablets Buprenorphine implant sublingual placebo tablets
Buprenorphine Tablets + Placebo Implants
n=89 Participants
Daily SL BPN tablets (≤8 mg/daily) + four placebo implants sublingual buprenorphine tablets placebo implants
Percent of Subjects With no Urine Illicit Opioid Use by Month;
Month 1 · Yes
80 Participants
84 Participants
Percent of Subjects With no Urine Illicit Opioid Use by Month;
Month 1 · No
4 Participants
5 Participants
Percent of Subjects With no Urine Illicit Opioid Use by Month;
Month 2 · Yes
80 Participants
79 Participants
Percent of Subjects With no Urine Illicit Opioid Use by Month;
Month 2 · No
4 Participants
10 Participants
Percent of Subjects With no Urine Illicit Opioid Use by Month;
Month 3 · Yes
83 Participants
78 Participants
Percent of Subjects With no Urine Illicit Opioid Use by Month;
Month 3 · No
1 Participants
11 Participants
Percent of Subjects With no Urine Illicit Opioid Use by Month;
Month 4 · Yes
80 Participants
80 Participants
Percent of Subjects With no Urine Illicit Opioid Use by Month;
Month 4 · No
4 Participants
9 Participants
Percent of Subjects With no Urine Illicit Opioid Use by Month;
Month 5 · Yes
81 Participants
79 Participants
Percent of Subjects With no Urine Illicit Opioid Use by Month;
Month 5 · No
3 Participants
10 Participants
Percent of Subjects With no Urine Illicit Opioid Use by Month;
Month 6 · Yes
76 Participants
76 Participants
Percent of Subjects With no Urine Illicit Opioid Use by Month;
Month 6 · No
8 Participants
13 Participants

SECONDARY outcome

Timeframe: 24 weeks

Population: Outcome measures were obtained for all subjects as described in the Analysis Population Description of the primary outcome above.

Secondary efficacy endpoint measures number of participants with evidence of urine illicit opioid use by month.

Outcome measures

Outcome measures
Measure
Buprenorphine Implants + Placebo Tablets
n=84 Participants
Four 80 mg Probuphine implants + daily SL placebo tablets Buprenorphine implant sublingual placebo tablets
Buprenorphine Tablets + Placebo Implants
n=89 Participants
Daily SL BPN tablets (≤8 mg/daily) + four placebo implants sublingual buprenorphine tablets placebo implants
Number of Participants With Evidence of Urine Illicit Opioid Use by Month
Month 1 · Yes
4 Participants
5 Participants
Number of Participants With Evidence of Urine Illicit Opioid Use by Month
Month 1 · No
80 Participants
84 Participants
Number of Participants With Evidence of Urine Illicit Opioid Use by Month
Month 2 · Yes
7 Participants
12 Participants
Number of Participants With Evidence of Urine Illicit Opioid Use by Month
Month 2 · No
77 Participants
77 Participants
Number of Participants With Evidence of Urine Illicit Opioid Use by Month
Month 3 · Yes
7 Participants
21 Participants
Number of Participants With Evidence of Urine Illicit Opioid Use by Month
Month 3 · No
77 Participants
68 Participants
Number of Participants With Evidence of Urine Illicit Opioid Use by Month
Month 4 · Yes
8 Participants
22 Participants
Number of Participants With Evidence of Urine Illicit Opioid Use by Month
Month 4 · No
76 Participants
67 Participants
Number of Participants With Evidence of Urine Illicit Opioid Use by Month
Month 5 · Yes
8 Participants
22 Participants
Number of Participants With Evidence of Urine Illicit Opioid Use by Month
Month 5 · No
76 Participants
67 Participants
Number of Participants With Evidence of Urine Illicit Opioid Use by Month
Month 6 · Yes
12 Participants
25 Participants
Number of Participants With Evidence of Urine Illicit Opioid Use by Month
Month 6 · No
72 Participants
64 Participants

SECONDARY outcome

Timeframe: 24 weeks

Population: Outcome measures were obtained for all subjects as described in the Analysis Population Description of the primary outcome above.

Subjects in the ITT population with no self-reported use of any illicit drugs (opioid or non-opioid) by month of evaluation

Outcome measures

Outcome measures
Measure
Buprenorphine Implants + Placebo Tablets
n=84 Participants
Four 80 mg Probuphine implants + daily SL placebo tablets Buprenorphine implant sublingual placebo tablets
Buprenorphine Tablets + Placebo Implants
n=89 Participants
Daily SL BPN tablets (≤8 mg/daily) + four placebo implants sublingual buprenorphine tablets placebo implants
Percent of Subjects With no Self-reported Illicit Drug Use by Month
Week 20 · Yes
70 Participants
70 Participants
Percent of Subjects With no Self-reported Illicit Drug Use by Month
Week 20 · No
11 Participants
16 Participants
Percent of Subjects With no Self-reported Illicit Drug Use by Month
Week 4 · Yes
72 Participants
75 Participants
Percent of Subjects With no Self-reported Illicit Drug Use by Month
Week 4 · No
12 Participants
14 Participants
Percent of Subjects With no Self-reported Illicit Drug Use by Month
Week 8 · Yes
70 Participants
75 Participants
Percent of Subjects With no Self-reported Illicit Drug Use by Month
Week 8 · No
13 Participants
14 Participants
Percent of Subjects With no Self-reported Illicit Drug Use by Month
Week 12 · Yes
75 Participants
71 Participants
Percent of Subjects With no Self-reported Illicit Drug Use by Month
Week 12 · No
8 Participants
17 Participants
Percent of Subjects With no Self-reported Illicit Drug Use by Month
Weeek 16 · Yes
68 Participants
74 Participants
Percent of Subjects With no Self-reported Illicit Drug Use by Month
Weeek 16 · No
13 Participants
14 Participants
Percent of Subjects With no Self-reported Illicit Drug Use by Month
Week 24/EOT · Yes
68 Participants
68 Participants
Percent of Subjects With no Self-reported Illicit Drug Use by Month
Week 24/EOT · No
13 Participants
18 Participants

SECONDARY outcome

Timeframe: 24 weeks

Population: Outcome measures were obtained for all subjects as described in the Analysis Population Description of the primary outcome above.

The secondary outcome of measures of craving: desire to use is a change from Day 1 (baseline) in the unipolar visual analogue scale (VAS), which is a 0-100 mm scale, where 0 mm is no desire, and 100 mm is strongest possible desire.

Outcome measures

Outcome measures
Measure
Buprenorphine Implants + Placebo Tablets
n=84 Participants
Four 80 mg Probuphine implants + daily SL placebo tablets Buprenorphine implant sublingual placebo tablets
Buprenorphine Tablets + Placebo Implants
n=89 Participants
Daily SL BPN tablets (≤8 mg/daily) + four placebo implants sublingual buprenorphine tablets placebo implants
Measures of Craving: Desire to Use Visual Analogue Scale (VAS)
Day 1 (Baseline)
5.4 units on a scale
Standard Deviation 13.98
6.8 units on a scale
Standard Deviation 16.02
Measures of Craving: Desire to Use Visual Analogue Scale (VAS)
Week 4(Change from BL)
1.1 units on a scale
Standard Deviation 17.69
-1.5 units on a scale
Standard Deviation 13.93
Measures of Craving: Desire to Use Visual Analogue Scale (VAS)
Week 8(Change from BL)
-1.8 units on a scale
Standard Deviation 10.63
-2.2 units on a scale
Standard Deviation 16.38
Measures of Craving: Desire to Use Visual Analogue Scale (VAS)
Week 12(Change from BL)
-2.0 units on a scale
Standard Deviation 9.37
-2.2 units on a scale
Standard Deviation 16.38
Measures of Craving: Desire to Use Visual Analogue Scale (VAS)
Week 16(Change from BL)
-2.2 units on a scale
Standard Deviation 11.88
-2.3 units on a scale
Standard Deviation 17.36
Measures of Craving: Desire to Use Visual Analogue Scale (VAS)
Week 20(Change from BL)
-2.3 units on a scale
Standard Deviation 10.94
-3.8 units on a scale
Standard Deviation 16.17
Measures of Craving: Desire to Use Visual Analogue Scale (VAS)
Week 24(Change from BL)
-2.3 units on a scale
Standard Deviation 11.15
-2.8 units on a scale
Standard Deviation 19.57

SECONDARY outcome

Timeframe: 24 weeks

Population: Outcome measures were obtained for all subjects as described in the Analysis Population Description of the primary outcome above.

The secondary outcome measures the change in baseline in the Clinical opiate withdrawal scale (COWS), which is a scale consisting of 11 common opiate withdrawal signs or symptoms, rated on a numeric scale with higher scores associated with greater withdrawal symptoms. A total score was calculated as the sum of the responses to the 11 signs/symptoms for a total range of 0-48. Withdrawal severity was classified, based on the total score, as follows: 0-4=none/normal, 5-12=mild, 13-24=moderate, 25-36=moderately severe, more than 36=severe withdrawal.

Outcome measures

Outcome measures
Measure
Buprenorphine Implants + Placebo Tablets
n=84 Participants
Four 80 mg Probuphine implants + daily SL placebo tablets Buprenorphine implant sublingual placebo tablets
Buprenorphine Tablets + Placebo Implants
n=89 Participants
Daily SL BPN tablets (≤8 mg/daily) + four placebo implants sublingual buprenorphine tablets placebo implants
Measures of Withdrawal: Clinical Opiate Withdrawal Scale (COWS)
Week 16(Change from BL)
-2.4 units on a scale
Standard Deviation 15.36
-2.3 units on a scale
Standard Deviation 15.39
Measures of Withdrawal: Clinical Opiate Withdrawal Scale (COWS)
Week 20(Change from BL)
-2.8 units on a scale
Standard Deviation 12.03
-3.4 units on a scale
Standard Deviation 13.79
Measures of Withdrawal: Clinical Opiate Withdrawal Scale (COWS)
Day 1 (Baseline)
5.4 units on a scale
Standard Deviation 15.18
6.0 units on a scale
Standard Deviation 13.02
Measures of Withdrawal: Clinical Opiate Withdrawal Scale (COWS)
Week 4(Change from BL)
-0.8 units on a scale
Standard Deviation 12.70
-1.2 units on a scale
Standard Deviation 16.91
Measures of Withdrawal: Clinical Opiate Withdrawal Scale (COWS)
Week 8(Change from BL)
-2.0 units on a scale
Standard Deviation 11.45
-1.9 units on a scale
Standard Deviation 16.38
Measures of Withdrawal: Clinical Opiate Withdrawal Scale (COWS)
Week 12(Change from BL)
-2.3 units on a scale
Standard Deviation 11.12
-2.4 units on a scale
Standard Deviation 14.72
Measures of Withdrawal: Clinical Opiate Withdrawal Scale (COWS)
Week 24(Change from BL)
-2.7 units on a scale
Standard Deviation 12.58
-1.9 units on a scale
Standard Deviation 18.97

SECONDARY outcome

Timeframe: 24 weeks

Population: Outcome measures were obtained for all subjects as described in the Analysis Population Description of the primary outcome above.

The secondary outcome measures the change in baseline in the subjective opioid withdrawal scale (SOWS), which is a scale which is a subject self-assessment of withdrawal symptoms. The scale consists of 16 questions that rate the intensity of withdrawal from 0 (not at all) to 4 (extremely) with a cumulative score ranging from 0-64 (0 =not at all, 64=extremely)

Outcome measures

Outcome measures
Measure
Buprenorphine Implants + Placebo Tablets
n=84 Participants
Four 80 mg Probuphine implants + daily SL placebo tablets Buprenorphine implant sublingual placebo tablets
Buprenorphine Tablets + Placebo Implants
n=89 Participants
Daily SL BPN tablets (≤8 mg/daily) + four placebo implants sublingual buprenorphine tablets placebo implants
Measures of Withdrawal: Subjective Opioid Withdrawal Scale (SOWS) (ITT Population)
Day 1 (Baseline)
2.7 units on a scale
Standard Deviation 3.85
2.2 units on a scale
Standard Deviation 3.15
Measures of Withdrawal: Subjective Opioid Withdrawal Scale (SOWS) (ITT Population)
Week 4 (Change from BL)
0.3 units on a scale
Standard Deviation 55.56
0.3 units on a scale
Standard Deviation 5.51
Measures of Withdrawal: Subjective Opioid Withdrawal Scale (SOWS) (ITT Population)
Week 8(Change from BL)
-1.1 units on a scale
Standard Deviation 3.39
0.4 units on a scale
Standard Deviation 5.63
Measures of Withdrawal: Subjective Opioid Withdrawal Scale (SOWS) (ITT Population)
Week 12(Change from BL)
-0.4 units on a scale
Standard Deviation 5.53
-0.1 units on a scale
Standard Deviation 4.15
Measures of Withdrawal: Subjective Opioid Withdrawal Scale (SOWS) (ITT Population)
Week 16(Change from BL)
-0.2 units on a scale
Standard Deviation 5.23
-0.4 units on a scale
Standard Deviation 4.25
Measures of Withdrawal: Subjective Opioid Withdrawal Scale (SOWS) (ITT Population)
Week 20(Change from BL)
-0.9 units on a scale
Standard Deviation 4.47
-0.1 units on a scale
Standard Deviation 4.47
Measures of Withdrawal: Subjective Opioid Withdrawal Scale (SOWS) (ITT Population)
Week 24(Change from BL)
0.1 units on a scale
Standard Deviation 5.26
0.1 units on a scale
Standard Deviation 5.26

SECONDARY outcome

Timeframe: 24 weeks

Population: Outcome measures were obtained for all subjects as described in the Analysis Population Description of the primary outcome above.

The secondary outcome of measures of craving: Need to use is a change from Day 1 (baseline) in the unipolar visual analogue scale (VAS), which is a 0-100 mm scale, where 0 mm is no need, and 100 mm is strongest possible need.

Outcome measures

Outcome measures
Measure
Buprenorphine Implants + Placebo Tablets
n=84 Participants
Four 80 mg Probuphine implants + daily SL placebo tablets Buprenorphine implant sublingual placebo tablets
Buprenorphine Tablets + Placebo Implants
n=89 Participants
Daily SL BPN tablets (≤8 mg/daily) + four placebo implants sublingual buprenorphine tablets placebo implants
Measures of Craving: Need to Use Visual Analogue Scale (VAS)
Day 1 (Baseline)
5.4 units on a scale
Standard Deviation 15.18
6.0 units on a scale
Standard Deviation 13.02
Measures of Craving: Need to Use Visual Analogue Scale (VAS)
Week 4(Change from BL)
-0.8 units on a scale
Standard Deviation 12.70
-1.2 units on a scale
Standard Deviation 16.91
Measures of Craving: Need to Use Visual Analogue Scale (VAS)
Week 8(Change from BL)
-2.0 units on a scale
Standard Deviation 11.45
-1.9 units on a scale
Standard Deviation 16.93
Measures of Craving: Need to Use Visual Analogue Scale (VAS)
Week 12(Change from BL)
-2.3 units on a scale
Standard Deviation 11.12
-2.4 units on a scale
Standard Deviation 14.72
Measures of Craving: Need to Use Visual Analogue Scale (VAS)
Week 16(Change from BL)
-2.4 units on a scale
Standard Deviation 15.36
-2.3 units on a scale
Standard Deviation 15.39
Measures of Craving: Need to Use Visual Analogue Scale (VAS)
Week 20(Change from BL)
-2.8 units on a scale
Standard Deviation 12.03
-3.4 units on a scale
Standard Deviation 13.79
Measures of Craving: Need to Use Visual Analogue Scale (VAS)
Week 24(Change from BL)
-2.7 units on a scale
Standard Deviation 12.58
-1.9 units on a scale
Standard Deviation 18.97

Adverse Events

Buprenorphine Implants + Placebo Tablets

Serious events: 2 serious events
Other events: 1 other events
Deaths: 0 deaths

Buprenorphine Tablets + Placebo Implants

Serious events: 3 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Buprenorphine Implants + Placebo Tablets
n=87 participants at risk
Four 80 mg Probuphine implants + daily SL placebo tablets Buprenorphine implant sublingual placebo tablets
Buprenorphine Tablets + Placebo Implants
n=89 participants at risk
Daily SL BPN tablets (≤8 mg/daily) + four placebo implants sublingual buprenorphine tablets placebo implants
Hepatobiliary disorders
Biliary Colic
0.00%
0/87 • All AEs were documented and followed from the time the subject signed the ICF until 14 days after the EOT Visit (i.e., implant removal and discontinuation of SL BPN/placebo treatment) which was approximately 28 weeks. Serious adverse events and AEs designated as possibly related to study drug were followed until resolution or stabilization.
For the purpose of this report, AEs considered by the investigator to be possibly, probably, or definitely related to study drug are classified as study drug-related events.
1.1%
1/89 • Number of events 1 • All AEs were documented and followed from the time the subject signed the ICF until 14 days after the EOT Visit (i.e., implant removal and discontinuation of SL BPN/placebo treatment) which was approximately 28 weeks. Serious adverse events and AEs designated as possibly related to study drug were followed until resolution or stabilization.
For the purpose of this report, AEs considered by the investigator to be possibly, probably, or definitely related to study drug are classified as study drug-related events.
Infections and infestations
Bronchitis
0.00%
0/87 • All AEs were documented and followed from the time the subject signed the ICF until 14 days after the EOT Visit (i.e., implant removal and discontinuation of SL BPN/placebo treatment) which was approximately 28 weeks. Serious adverse events and AEs designated as possibly related to study drug were followed until resolution or stabilization.
For the purpose of this report, AEs considered by the investigator to be possibly, probably, or definitely related to study drug are classified as study drug-related events.
1.1%
1/89 • Number of events 1 • All AEs were documented and followed from the time the subject signed the ICF until 14 days after the EOT Visit (i.e., implant removal and discontinuation of SL BPN/placebo treatment) which was approximately 28 weeks. Serious adverse events and AEs designated as possibly related to study drug were followed until resolution or stabilization.
For the purpose of this report, AEs considered by the investigator to be possibly, probably, or definitely related to study drug are classified as study drug-related events.
Nervous system disorders
Convulsion
1.1%
1/87 • Number of events 1 • All AEs were documented and followed from the time the subject signed the ICF until 14 days after the EOT Visit (i.e., implant removal and discontinuation of SL BPN/placebo treatment) which was approximately 28 weeks. Serious adverse events and AEs designated as possibly related to study drug were followed until resolution or stabilization.
For the purpose of this report, AEs considered by the investigator to be possibly, probably, or definitely related to study drug are classified as study drug-related events.
0.00%
0/89 • All AEs were documented and followed from the time the subject signed the ICF until 14 days after the EOT Visit (i.e., implant removal and discontinuation of SL BPN/placebo treatment) which was approximately 28 weeks. Serious adverse events and AEs designated as possibly related to study drug were followed until resolution or stabilization.
For the purpose of this report, AEs considered by the investigator to be possibly, probably, or definitely related to study drug are classified as study drug-related events.
Psychiatric disorders
Bipolar I Disorder
1.1%
1/87 • Number of events 1 • All AEs were documented and followed from the time the subject signed the ICF until 14 days after the EOT Visit (i.e., implant removal and discontinuation of SL BPN/placebo treatment) which was approximately 28 weeks. Serious adverse events and AEs designated as possibly related to study drug were followed until resolution or stabilization.
For the purpose of this report, AEs considered by the investigator to be possibly, probably, or definitely related to study drug are classified as study drug-related events.
0.00%
0/89 • All AEs were documented and followed from the time the subject signed the ICF until 14 days after the EOT Visit (i.e., implant removal and discontinuation of SL BPN/placebo treatment) which was approximately 28 weeks. Serious adverse events and AEs designated as possibly related to study drug were followed until resolution or stabilization.
For the purpose of this report, AEs considered by the investigator to be possibly, probably, or definitely related to study drug are classified as study drug-related events.
Hepatobiliary disorders
Cholecystitis Chronic
0.00%
0/87 • All AEs were documented and followed from the time the subject signed the ICF until 14 days after the EOT Visit (i.e., implant removal and discontinuation of SL BPN/placebo treatment) which was approximately 28 weeks. Serious adverse events and AEs designated as possibly related to study drug were followed until resolution or stabilization.
For the purpose of this report, AEs considered by the investigator to be possibly, probably, or definitely related to study drug are classified as study drug-related events.
1.1%
1/89 • Number of events 1 • All AEs were documented and followed from the time the subject signed the ICF until 14 days after the EOT Visit (i.e., implant removal and discontinuation of SL BPN/placebo treatment) which was approximately 28 weeks. Serious adverse events and AEs designated as possibly related to study drug were followed until resolution or stabilization.
For the purpose of this report, AEs considered by the investigator to be possibly, probably, or definitely related to study drug are classified as study drug-related events.

Other adverse events

Other adverse events
Measure
Buprenorphine Implants + Placebo Tablets
n=87 participants at risk
Four 80 mg Probuphine implants + daily SL placebo tablets Buprenorphine implant sublingual placebo tablets
Buprenorphine Tablets + Placebo Implants
n=89 participants at risk
Daily SL BPN tablets (≤8 mg/daily) + four placebo implants sublingual buprenorphine tablets placebo implants
Musculoskeletal and connective tissue disorders
Muscle spasm
1.1%
1/87 • Number of events 1 • All AEs were documented and followed from the time the subject signed the ICF until 14 days after the EOT Visit (i.e., implant removal and discontinuation of SL BPN/placebo treatment) which was approximately 28 weeks. Serious adverse events and AEs designated as possibly related to study drug were followed until resolution or stabilization.
For the purpose of this report, AEs considered by the investigator to be possibly, probably, or definitely related to study drug are classified as study drug-related events.
0.00%
0/89 • All AEs were documented and followed from the time the subject signed the ICF until 14 days after the EOT Visit (i.e., implant removal and discontinuation of SL BPN/placebo treatment) which was approximately 28 weeks. Serious adverse events and AEs designated as possibly related to study drug were followed until resolution or stabilization.
For the purpose of this report, AEs considered by the investigator to be possibly, probably, or definitely related to study drug are classified as study drug-related events.
Pregnancy, puerperium and perinatal conditions
Abortion - Spontaneous
0.00%
0/87 • All AEs were documented and followed from the time the subject signed the ICF until 14 days after the EOT Visit (i.e., implant removal and discontinuation of SL BPN/placebo treatment) which was approximately 28 weeks. Serious adverse events and AEs designated as possibly related to study drug were followed until resolution or stabilization.
For the purpose of this report, AEs considered by the investigator to be possibly, probably, or definitely related to study drug are classified as study drug-related events.
1.1%
1/89 • Number of events 1 • All AEs were documented and followed from the time the subject signed the ICF until 14 days after the EOT Visit (i.e., implant removal and discontinuation of SL BPN/placebo treatment) which was approximately 28 weeks. Serious adverse events and AEs designated as possibly related to study drug were followed until resolution or stabilization.
For the purpose of this report, AEs considered by the investigator to be possibly, probably, or definitely related to study drug are classified as study drug-related events.
Pregnancy, puerperium and perinatal conditions
Pregnancy
0.00%
0/87 • All AEs were documented and followed from the time the subject signed the ICF until 14 days after the EOT Visit (i.e., implant removal and discontinuation of SL BPN/placebo treatment) which was approximately 28 weeks. Serious adverse events and AEs designated as possibly related to study drug were followed until resolution or stabilization.
For the purpose of this report, AEs considered by the investigator to be possibly, probably, or definitely related to study drug are classified as study drug-related events.
1.1%
1/89 • Number of events 1 • All AEs were documented and followed from the time the subject signed the ICF until 14 days after the EOT Visit (i.e., implant removal and discontinuation of SL BPN/placebo treatment) which was approximately 28 weeks. Serious adverse events and AEs designated as possibly related to study drug were followed until resolution or stabilization.
For the purpose of this report, AEs considered by the investigator to be possibly, probably, or definitely related to study drug are classified as study drug-related events.
Pregnancy, puerperium and perinatal conditions
Pediatric exposure to treatment
0.00%
0/87 • All AEs were documented and followed from the time the subject signed the ICF until 14 days after the EOT Visit (i.e., implant removal and discontinuation of SL BPN/placebo treatment) which was approximately 28 weeks. Serious adverse events and AEs designated as possibly related to study drug were followed until resolution or stabilization.
For the purpose of this report, AEs considered by the investigator to be possibly, probably, or definitely related to study drug are classified as study drug-related events.
1.1%
1/89 • Number of events 1 • All AEs were documented and followed from the time the subject signed the ICF until 14 days after the EOT Visit (i.e., implant removal and discontinuation of SL BPN/placebo treatment) which was approximately 28 weeks. Serious adverse events and AEs designated as possibly related to study drug were followed until resolution or stabilization.
For the purpose of this report, AEs considered by the investigator to be possibly, probably, or definitely related to study drug are classified as study drug-related events.
Skin and subcutaneous tissue disorders
Cellulitis
0.00%
0/87 • All AEs were documented and followed from the time the subject signed the ICF until 14 days after the EOT Visit (i.e., implant removal and discontinuation of SL BPN/placebo treatment) which was approximately 28 weeks. Serious adverse events and AEs designated as possibly related to study drug were followed until resolution or stabilization.
For the purpose of this report, AEs considered by the investigator to be possibly, probably, or definitely related to study drug are classified as study drug-related events.
1.1%
1/89 • Number of events 1 • All AEs were documented and followed from the time the subject signed the ICF until 14 days after the EOT Visit (i.e., implant removal and discontinuation of SL BPN/placebo treatment) which was approximately 28 weeks. Serious adverse events and AEs designated as possibly related to study drug were followed until resolution or stabilization.
For the purpose of this report, AEs considered by the investigator to be possibly, probably, or definitely related to study drug are classified as study drug-related events.

Additional Information

Kate Beebe DeVarney

Titan Pharmaceuticals

Phone: 650-244-4990

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place